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Stent placement in a splenic vein stenosis after TIPS creation
S H Cekirge1, J P Weiss, R G Foster
1Department of Radiology, Western Pennsylvania Hospital, Pittsburgh 15224.
Radiology
|October 1, 1993
Summary
A stent successfully treated splenic vein stenosis, a complication during transjugular intrahepatic portosystemic shunt (TIPS) placement for gastric variceal bleeding. This intervention restored normal blood flow and controlled hemorrhage.
Area of Science:
- Interventional Radiology
- Hepatology
- Vascular Surgery
Background:
- Gastric variceal bleeding is a serious complication of portal hypertension.
- Transjugular intrahepatic portosystemic shunt (TIPS) is a common treatment for portal hypertension.
- Splenic vein stenosis can complicate TIPS procedures.
Observation:
- Hemodynamically significant splenic vein stenosis was identified during TIPS placement.
- The stenosis obstructed hepatopetal flow, leading to venous hypertension.
Findings:
- A second stent was successfully placed across the splenic vein stenosis.
- The intervention achieved a favorable hemodynamic and angiographic outcome.
- Clinical bleeding was effectively controlled post-procedure.
Implications:
- Stenting splenic vein stenosis is a viable treatment during TIPS procedures.
- This approach can prevent or manage complications like gastric variceal bleeding.
- Successful management of venous stenosis improves TIPS efficacy and patient outcomes.